| Ablation av node (93650) |
$5,080 |
$10,160 |
0.7× |
| Airway inhalation treatment (94640) |
$146 |
$292 |
0.7× |
| Analyze Neurostim Complex (95972) |
$218 |
$436 |
2.4× |
| Analyze neurostim no prog (95970) |
$412.50 |
$825 |
3.2× |
| Appl on-body injector for timed subq injection (96377) |
$21.50 |
$43 |
0.5× |
| Arrhythmia induction (93618) |
$960.50 |
$1,921 |
0.8× |
| Assessment of aphasia (96105) |
$152 |
$304 |
1.6× |
| Assmt & care planning pt w/cognitive impairment (99483) |
$86 |
$172 |
0.9× |
| Behavioral and qualitative analysis of voice and resonance (92524) |
$214.50 |
$429 |
2.0× |
| Biofeedback training any modality (90901) |
$163.50 |
$327 |
4.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) |
$479.50 |
$959 |
1.3× |
| C motor evoked upr&lwr limbs (95939) |
$1,869.50 |
$3,739 |
2.3× |
| Canalith Repositioning (95992) |
$35 |
$70 |
0.9× |
| Capsule endoscopy (91110) |
$669 |
$1,338 |
0.8× |
| Cardiac Stress Tst,Tracing Only (93017) |
$310 |
$620 |
1.5× |
| Cardiopulmonary exercise testing (94621) |
$337 |
$674 |
0.9× |
| Cardiopulmonary resuscitation (92950) |
$235.50 |
$471 |
1.1× |
| Cardioversion (92960) |
$1,117.50 |
$2,235 |
1.7× |
| Cardioversion internal (92961) |
$530 |
$1,060 |
0.8× |
| Caregiver training 1st 30 min (97550) |
$39.50 |
$79 |
0.7× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) |
$20.50 |
$41 |
0.8× |
| Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) |
$3,920 |
$7,840 |
1.3× |
| Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) |
$3,920 |
$7,840 |
1.3× |
| Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) |
$17,202 |
$34,404 |
1.0× |
| Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) |
$5,096 |
$10,192 |
1.6× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) |
$5,096 |
$10,192 |
1.6× |
| Cbt 1st hour (94644) |
$102 |
$204 |
0.8× |
| Chemo Hormon Antineopl Sq/Im (96402) |
$86 |
$172 |
1.2× |
| Chemo IV push addl drug (96411) |
$67.50 |
$135 |
1.0× |
| Chemother, IV infusion, 1 hr (96413) |
$110 |
$220 |
0.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) |
$38.50 |
$77 |
0.6× |
| Color/duplex Doppler, complete (93975) |
$420 |
$840 |
1.8× |
| Color/duplex Doppler, limited (93976) |
$494 |
$988 |
4.9× |
| Coronary artery angio s&i (93454) |
$3,920 |
$7,840 |
1.3× |
| Cpap initiation and management (94660) |
$124.50 |
$249 |
0.6× |
| Cpt initial (94667) |
$53.50 |
$107 |
0.4× |
| Critical care (99291) |
$2,519 |
$5,038 |
3.2× |
| Debridement Open Wound 20 Sq Cm< (97597) |
$180 |
$360 |
0.9× |
| Demo &/or eval,pt use,aerosol device (94664) |
$53.50 |
$107 |
0.3× |
| Dialysis other/than hemodialysis 1 phys/qhp eval (90945) |
$335 |
$670 |
0.8× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) |
$522.50 |
$1,045 |
2.3× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) |
$264.50 |
$529 |
2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) |
$280 |
$560 |
1.2× |
| Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) |
$220 |
$440 |
2.2× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) |
$297 |
$594 |
1.3× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) |
$240 |
$480 |
2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) |
$331 |
$662 |
3.3× |
| Duplex hemodialysis access (93990) |
$203.50 |
$407 |
2.0× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) |
$441 |
$882 |
1.9× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) |
$202 |
$404 |
2.0× |
| Duplex scan extracranial art compl bi study (93880) |
$308.50 |
$617 |
1.3× |
| Echo Heart Xthoracic,Limited (93308) |
$500 |
$1,000 |
2.2× |
| Echo transesophageal (93312) |
$1,074.50 |
$2,149 |
2.0× |
| Echo Transthoracic - Congenital Tte Complete (93303) |
$1,069 |
$2,138 |
2.0× |
| EEG awake asleep (95819) |
$684 |
$1,368 |
3.3× |
| EEG awake drowsy (95816) |
$684 |
$1,368 |
3.3× |
| EEG cerebral death evaluation (95824) |
$328 |
$656 |
0.9× |
| EEG cont rec w/video by tech min 8 channels (95700) |
$439.50 |
$879 |
2.1× |
| Eeg Extended Monitoring 61-119 Minutes (95813) |
$1,679.50 |
$3,359 |
8.0× |
| EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) |
$1,098 |
$2,196 |
3.0× |
| EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) |
$1,230.50 |
$2,461 |
3.4× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) |
$414.50 |
$829 |
2.0× |
| EEG w/o video by tech 2-12hr continuous r-t mntr (95707) |
$430 |
$860 |
2.1× |
| EKG (93005) |
$58.50 |
$117 |
1.0× |
| EKG rhythm strip (93041) |
$27.50 |
$55 |
0.5× |
| Ekg Signal Averaging (93278) |
$80.50 |
$161 |
1.4× |
| Elec alys implt cplx cn npgt prgrmg (95977) |
$182.50 |
$365 |
2.0× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) |
$57 |
$114 |
1.6× |
| Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) |
$218 |
$436 |
2.4× |
| Electroencephalogram Extend Monitoring 41-60 Min (95812) |
$1,106.50 |
$2,213 |
5.3× |
| EMG two extremities (95861) |
$591.50 |
$1,183 |
4.6× |
| Endomyocardial biopsy (93505) |
$1,648 |
$3,296 |
0.5× |
| Ep & ablate supravent arrhyt (93653) |
$13,320.50 |
$26,641 |
0.5× |
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure |
$10,575.50 |
$21,151 |
0.4× |
| Ep Analyze Pacer Sys (93724) |
$994.50 |
$1,989 |
3.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) |
$6,532 |
$13,064 |
0.9× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) |
$1,274 |
$2,548 |
1.1× |
| Er level 1 (99281) |
$284 |
$568 |
3.5× |
| Er level ii (99282) |
$566.50 |
$1,133 |
3.8× |
| Er level iii (99283) |
$755.50 |
$1,511 |
2.9× |
| Er level IV (99284) |
$1,385.50 |
$2,771 |
3.4× |
| Er level v (99285) |
$1,952 |
$3,904 |
3.4× |
| Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) |
$238.50 |
$477 |
3.4× |
| Evaluation of speech fluency (92521) |
$100.50 |
$201 |
0.8× |
| Evaluation of speech sound production (92522) |
$238.50 |
$477 |
2.1× |
| Evaluation of swallowing function (92610) |
$159 |
$318 |
1.9× |
| Evaluation with prescription of speech-generating alternative (92607) |
$236.50 |
$473 |
1.9× |
| Exhaled Air Analysis (94690) |
$69 |
$138 |
1.2× |
| External ECG rec>48hr<7d recording (93242) |
$229.50 |
$459 |
6.4× |
| External ECG rec>7d<15d recording (93246) |
$229.50 |
$459 |
6.4× |
| External Ecg Scanning Analysis Report (93226) |
$149.50 |
$299 |
2.6× |
| Flexible Endoscopic Eval Swallow C/V Rec (92612) |
$113 |
$226 |
0.6× |
| Gi wireless capsule measure (91112) |
$416 |
$832 |
0.5× |
| Group Therapeutic Procedures (97150) |
$53.50 |
$107 |
3.0× |
| Hemodialysis (90935) |
$497 |
$994 |
0.7× |
| Holter Monitor Recording (93225) |
$149.50 |
$299 |
1.2× |
| Icd Device Interrogate (93289) |
$71.50 |
$143 |
2.0× |
| Ilr Device Eval Progr (93285) |
$53.50 |
$107 |
1.5× |
| Imm Admn Sarscov2 Vaccine Single Dose (90480) |
$25 |
$50 |
0.6× |
| Immuniz admin,intranasal/oral,1 vac/tox (90473) |
$91 |
$182 |
1.3× |
| Immunization Admin (90471) |
$64.50 |
$129 |
0.9× |
| Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) |
$987 |
$1,974 |
2.7× |
| Ins swan ganz bedside (93503) |
$1,725.50 |
$3,451 |
1.1× |
| Interrogation of vad (93750) |
$251 |
$502 |
2.7× |
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure |
$1,025 |
$2,050 |
0.1× |
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure |
$1,025 |
$2,050 |
0.1× |
Intraventricular pacing (93612)
likely a partial charge, not the full procedure |
$1,025 |
$2,050 |
0.1× |
| Irrigaj Implntd Venous Access Drug Delivery Syst (96523) |
$24.50 |
$49 |
0.4× |
| IV infusion hydration each additional hour (96361) |
$39.50 |
$79 |
0.9× |
| IV infusion hydration initial 31 min-1 hour (96360) |
$46.50 |
$93 |
0.2× |
| IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) |
$54 |
$108 |
0.8× |
| IV infusion, therap/proph/diagnost,initial,1st hour (96365) |
$185 |
$370 |
0.9× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) |
$38 |
$76 |
0.8× |
| IV push initial (96374) |
$56.50 |
$113 |
0.3× |
| Manual therapy 15 min (97140) |
$64 |
$128 |
2.3× |
| Massage 15 min (97124) |
$56 |
$112 |
1.9× |
| Maximum voluntary ventilation (94200) |
$92.50 |
$185 |
1.6× |
| Mechanical traction (97012) |
$46.50 |
$93 |
3.2× |
| Methacholine challenge (94070) |
$487.50 |
$975 |
1.4× |
| Motion Fluor Eval Swlng Funcj C/V Rec (92611) |
$178 |
$356 |
1.9× |
| Multiple sleep latency test (95805) |
$1,435 |
$2,870 |
1.7× |
| Nasal function studies (92512) |
$185.50 |
$371 |
0.9× |
| Nasopharyngoscopy (92511) |
$182.50 |
$365 |
0.9× |
| Needle electromyography larynx (95865) |
$461.50 |
$923 |
3.6× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) |
$363.50 |
$727 |
2.8× |
| Neg press wnd tx </=50 sq cm (97607) |
$239 |
$478 |
0.6× |
| Neg press wound tx >50 cm (97608) |
$378 |
$756 |
1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) |
$125 |
$250 |
0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) |
$169 |
$338 |
0.4× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) |
$149.50 |
$299 |
1.2× |
| Non-Invasive Physiologic Study Extremity 3 Levls (93923) |
$198.50 |
$397 |
1.0× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) |
$119.50 |
$239 |
1.0× |
| O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) |
$335 |
$670 |
0.9× |
| Orthotics mgmt & traing initial enctr ea 15 mins (97760) |
$77.50 |
$155 |
1.7× |
| Ot Community/Work Reintegration Trainj Ea 15 Min (97537) |
$77.50 |
$155 |
2.4× |
| Ot Contrast Bath Ea 15 Min (97034) |
$35.50 |
$71 |
2.5× |
| Ot eval high complex 60 min (97167) |
$174.50 |
$349 |
1.7× |
| Ot eval low complex 30 min (97165) |
$174.50 |
$349 |
1.7× |
| Ot eval mod complex 45 min (97166) |
$174.50 |
$349 |
1.7× |
| Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) |
$73 |
$146 |
1.5× |
| Ot Prosthetic Training, Each 15 Min (97761) |
$73 |
$146 |
1.8× |
| Ot re-eval est plan care (97168) |
$105 |
$210 |
1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) |
$179.50 |
$359 |
1.4× |
| Outpatient cardiac rehab w/o cont ECG monitor (93797) |
$179.50 |
$359 |
1.4× |
| Paraffin bath (97018) |
$17.50 |
$35 |
2.9× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) |
$176.50 |
$353 |
0.8× |
| Peripheral arterial disease rehab per session (93668) |
$95 |
$190 |
1.7× |
| Perq transcath closure pda (93582) |
$18,338 |
$36,676 |
1.0× |
| Phy/qhp op pulm rhb w/mntr (94626) |
$191.50 |
$383 |
3.4× |
| Phy/qhp op pulm rhb w/o mntr (94625) |
$191.50 |
$383 |
3.4× |
| Plethysmography (94726) |
$265 |
$530 |
0.7× |
| Pm device eval in person (93288) |
$43.50 |
$87 |
1.2× |
| Pm device progr eval dual (93280) |
$43.50 |
$87 |
1.2× |
| Pm device progr eval multi (93281) |
$43.50 |
$87 |
1.2× |
| Pm device progr eval sngl (93279) |
$43.50 |
$87 |
1.2× |
| Pm/Icd Remote Tech Serv (93296) |
$104.50 |
$209 |
2.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) |
$1,962.25 |
$3,924.50 |
2.4× |
| Polysom <6 yrs 4/> paramtrs (95782) |
$1,435 |
$2,870 |
1.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) |
$1,435 |
$2,870 |
1.7× |
| Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) |
$71.50 |
$143 |
2.0× |
| Programming of dual lead implantable defibrillator system (93283) |
$71.50 |
$143 |
2.0× |
| Programming of single lead implantable defibrillator system (93282) |
$71.50 |
$143 |
2.0× |
| Prq balloon valvuloplasty aortic valve (92986) |
$4,586.50 |
$9,173 |
0.8× |
| Prq Balloon Valvuloplasty Mitral Valve (92987) |
$17,841 |
$35,682 |
1.6× |
| Prq card revasc chronic 1vsl (92943) |
$11,138 |
$22,276 |
1.0× |
| Prq Card Stent W/Angio 1 Vsl (92928) |
$9,082 |
$18,164 |
0.8× |
| Prq Card Stent/Ath/Angio (92933) |
$15,162.50 |
$30,325 |
0.9× |
| Prq revasc byp graft 1 vsl (92937) |
$11,138 |
$22,276 |
1.0× |
| Prq trluml coronary angio/atherect one art/brnch (92924) |
$10,994.50 |
$21,989 |
1.0× |
| Prq trluml coronary angioplasty one art/branch (92920) |
$5,880 |
$11,760 |
1.1× |
| Pt Aquatic Therapy/Exercises (97113) |
$68 |
$136 |
1.8× |
| Pt Electric Current Therapy (97033) |
$56 |
$112 |
2.9× |
| Pt Electrical Stimulation (97032) |
$47.50 |
$95 |
3.2× |
| Pt eval high complex 45 min (97163) |
$166.50 |
$333 |
1.7× |
| Pt eval low complex 20 min (97161) |
$166.50 |
$333 |
1.7× |
| Pt Gait Training Therapy (97116) |
$56.50 |
$113 |
1.9× |
| Pt group caregiver training (97552) |
$9 |
$18 |
0.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) |
$68 |
$136 |
2.1× |
| Pt Physical Performance Test (97750) |
$67 |
$134 |
2.0× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) |
$166.50 |
$333 |
1.7× |
| Pt re-evaluation (97164) |
$88 |
$176 |
1.3× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) |
$77.50 |
$155 |
2.4× |
| Pt Ultrasound Therapy (97035) |
$32 |
$64 |
2.2× |
| Pt Whirlpool Therapy (97022) |
$38.50 |
$77 |
2.5× |
| Pulm Funct Test Oscillometry (94728) |
$466.50 |
$933 |
3.8× |
| Pulm function test by gas (94727) |
$108.50 |
$217 |
0.5× |
| Pulmonary stress testing (94618) |
$111 |
$222 |
0.9× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) |
$3,920 |
$7,840 |
1.3× |
| R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) |
$5,096 |
$10,192 |
1.6× |
| R hrt art/grft angio (93457) |
$3,920 |
$7,840 |
1.3× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) |
$5,096 |
$10,192 |
1.6× |
| Rem ther mntr dev sply w/rec muscskel sys ea 30d (98977) |
$35 |
$70 |
1.0× |
| Rem ther mntr dev supply w/rec respir sys ea 30d (98976) |
$35 |
$70 |
1.0× |
| Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) |
$201.50 |
$403 |
5.6× |
| Remote ther mntr tx mgmt phys/qhp 1st 20 min (98980) |
$25 |
$50 |
0.5× |
| Remote ther mntr tx mgmt phys/qhp ea addl 20 min (98981) |
$25 |
$50 |
0.6× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) |
$114 |
$228 |
0.9× |
| Right heart cath (93451) |
$3,920 |
$7,840 |
1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) |
$369 |
$738 |
1.9× |
| Rt Chest Wall Manipulation,Subsequent (94668) |
$53.50 |
$107 |
0.4× |
| Sensory Integration Ea 15 Min (97533) |
$60 |
$120 |
1.0× |
| Sleep study attended (95807) |
$1,355 |
$2,710 |
3.8× |
| Sleep study unattended (95806) |
$1,064 |
$2,128 |
5.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) |
$1,329.50 |
$2,659 |
6.4× |
| Smoking cessation > 10 min (99407) |
$50 |
$100 |
1.4× |
| Somatosensory testing (95938) |
$1,848 |
$3,696 |
2.2× |
| Speech sound lang comprehen (92523) |
$238.50 |
$477 |
1.1× |
| Spirometry (94010) |
$101 |
$202 |
0.5× |
| Standardized Cognitive Performance Testing (96125) |
$143 |
$286 |
1.4× |
| Stress echo (93350) |
$1,182.50 |
$2,365 |
2.2× |
| Stress Tte Complete (93351) |
$1,132.50 |
$2,265 |
2.1× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) |
$56 |
$112 |
2.5× |
| Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) |
$28.50 |
$57 |
1.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) |
$124.50 |
$249 |
1.2× |
| Ther/prop/diag inj/inf proc (96379) |
$38 |
$76 |
0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) |
$38 |
$76 |
0.5× |
| Therapeutic Activities (97530) |
$73 |
$146 |
2.1× |
| Therapeutic phlebotomy (99195) |
$73 |
$146 |
0.6× |
| Tilt Table Eval (93660) |
$715.50 |
$1,431 |
2.0× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) |
$50 |
$100 |
1.4× |
| Transcran Doppler Intracran Art - Transcranial Doppler (93886) |
$284.50 |
$569 |
1.2× |
| Transcranial Doppler Limited (93888) |
$115 |
$230 |
1.1× |
| Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) |
$1,032 |
$2,064 |
2.0× |
| Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) |
$471 |
$942 |
2.0× |
| Tx atrial fib pulm vein isol (93656) |
$13,320.50 |
$26,641 |
0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) |
$103.50 |
$207 |
1.4× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) |
$135 |
$270 |
1.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) |
$54.50 |
$109 |
1.2× |
| Ultrasound of heart with probe in esophagus to assess heart pump function (93318) |
$1,099 |
$2,198 |
2.1× |
| Unlisted Cardiovascular Service/Procedure (93799) |
$2,824 |
$5,648 |
22.7× |
| Vasc Duplex Extrem Venous,Bilat (93970) |
$420 |
$840 |
1.8× |
| Vasc Duplex Scan Extracranial,Limited (93882) |
$281.50 |
$563 |
2.8× |
| Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) |
$198.50 |
$397 |
1.0× |
| Veeg by tech 2-12 hr continuous r-t monitoring (95713) |
$1,354 |
$2,708 |
3.8× |
| Veeg by tech 2-12 hr intermittent monitoring (95712) |
$805 |
$1,610 |
2.2× |
| Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) |
$3,514 |
$7,028 |
4.2× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) |
$2,508 |
$5,016 |
7.0× |
| Ventilation assist & mgmt inpatient 1st day (94002) |
$270.50 |
$541 |
0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) |
$270.50 |
$541 |
0.5× |
| Vital capacity total (94150) |
$160.50 |
$321 |
1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) |
$35.50 |
$71 |
1.1× |